银质针治疗慢性软组织疼痛的作用机制和临床应用研究进展
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摘要
慢性软组织疼痛是临床常见病、多发病,银质针治疗慢性软组织疼痛疗效显著。本文主要通过检索近五年相关文献,就银质针作用机制和临床应用展开综述。结果发现目前银质针作用机制方面的研究较为缺乏,而临床研究方面的文献报道虽然越来越多,但缺乏高质量的多中心、大样本量的随机对照研究。因此,有必要进一步加强银质针治疗慢性软组织疼痛的作用机制研究和高质量的临床应用随机对照研究,为其推广应用提供理论依据。
Chronic soft tissue pain is a common and frequently occurring disease in the clinic,the effect of silver needle on chronic soft tissue pain is remarkable. In this paper,the mechanism and clinical application of silver needle were reviewed by searching relevant literatures for the last five years. The result indicates that the mechanism of silver needle is lack. Although there are more and more literature reports on clinical research,the high-quality randomized controlled study of multi center is lack. Therefore,it is necessary to further strengthen the study on action mechanisms of silver needle in the treatment of chronic soft tissue pain and the randomized controlled study of high-quality clinical application,to provide a theoretical basis for its popularization and application.
Chronic soft tissue pain is a common and frequently occurring disease in the clinic,the effect of silver needle on chronic soft tissue pain is remarkable. In this paper,the mechanism and clinical application of silver needle were reviewed by searching relevant literatures for the last five years. The result indicates that the mechanism of silver needle is lack. Although there are more and more literature reports on clinical research,the high-quality randomized controlled study of multi center is lack. Therefore,it is necessary to further strengthen the study on action mechanisms of silver needle in the treatment of chronic soft tissue pain and the randomized controlled study of high-quality clinical application,to provide a theoretical basis for its popularization and application.
引文
[1]董宏然,李启芳,杨彬奎,等.慢性软组织损害性疼痛外周不同组织中TNF-α表达的研究[J].颈腰痛杂志,2014,35(6):441-443.
[2]吴焱,杨东旭.体外冲击波治疗软组织慢性疼痛的临床观察[J].临床医药实践,2014,23(4):280-281.
[3]王国强.乌附汤联合基础疗法治疗慢性软组织损伤疼痛38例[J].中医研究,2014,27(4):47-49.
[4]王福根.银质针疗法在临床疼痛诊治中的应用[J].中国疼痛医学杂志,2003,9(3):173-181.
[5]宣蛰人.软组织外科学[J].颈腰痛杂志,1988,9(3):1-5.
[6]肖京,朱立国,金添,等.银质针和中药熏蒸治疗慢性腰痛前后椎旁软组织张力变化的对比分析[J].中国骨伤,2014(6):513-517.
[7]江亿平,侯京山,王福根.耻骨结节处银质针松解术治疗股内侧、膝关节内侧疼痛的疗效评估[J].中国临床康复,2005,9(18):1-3.
[8]王福根,江亿平.银质针治疗腰椎间盘突出症的临床肌电图观察[J].中国疼痛医学杂志,1999,5(4):194-197.
[9]施燕莉.两种银质针加热方法的疗效比较[J].中国康复医学杂志,2004,19(9):695-696.
[10]王一帆,木彬,李代斌,等.银质针疗法在慢性软组织损伤性疼痛中的应用研究[J].辽宁中医药大学学报,2016,18(1):126-129.
[11]侯京山,陈华,赵艳鸿,等.银质针温度自动控制系统的研究[J].中国临床康复,2004,8(20):4054-4055.
[12]王福根,富秋涛,侯京山,等.银质针治疗腰椎管外软组织损害后局部血流量变化观察[J].中国疼痛医学杂志,2001,7(2):80-82.
[13]王诚宏,慈鸿飞,王哲.银质针针刺疗法对腰椎间盘突出症患者下肢微循环的影响[J].中国康复医学杂志,2009,24(5):455-456.
[14]马玲,贾子善,肖红雨,等.银质针对大鼠运动性肌损伤疗效观察[J].实用医学杂志,2016,32(15):2448-2451.
[15]冯传有,陈华,王福根.热传导银质针治疗对股四头肌慢性损伤兔骨骼肌白细胞介素水平的影响[J].中国临床康复,2005,9(18):98-99.
[16]谢财忠,刘蓓蓓,丁勤能,等.银质针肌肉导热疗法对跟腱末端病大鼠白细胞介素-6表达的影响[J].中国康复医学杂志,2014,29(11):1079-1081.
[17]Gao P,Gao XI,Fu T,et al.Acupuncture:Emerging evidence for its use as an analgesic(Review)[J].Exp Ther Med,2015,9(5):1577-1581.
[18]端木程琳,乔丽娜,闫娅霞,等.针刺镇痛与脊髓胶质细胞参与慢性痛作用机制研究进展[J].中国中医基础医学杂志,2017,23(3):443-446.
[19]秦元,赵毅,沈雪勇,等.不同型号传统银质针温针灸在人体内的温度特性比较[J].上海针灸杂志,2014,33(3):189-191.
[20]张琴,郭成坤.银质针对腰椎间盘突出症镇痛作用及其对血浆β-内啡肽的影响[J].中国康复,2012,27(5):342-343.
[21]You HJ,Lei J,Ye G,et al.Influence of intramuscular heat stimulation modulation of nociception:complex role of central opioid receptors in descending facilitation and inhibition[J].J Physiol,2014,(Pt 19):4365-4380.
[22]邵蕊,王莹,晋志高.针刺夹脊穴治疗颈椎病的现状分析[J].基因组学与应用生物学,2017,36(2):531-535.
[23]陈伟,刘东灵,姜兴鹏,等.改良银质针疗法治疗椎动脉型颈椎病疗效观察[J].辽宁中医杂志,2014,41(12):2661-2664.
[24]李信明,刘春梅,任正强,等.肌肉缩短致病原理指导下无热银质针松解术治疗神经根型颈椎病的临床研究[J].华西医学,2015,30(10):1914-1918.
[25]陈礼彬,李世刚.银质针治疗颈肩上臂外侧疼痛为主的神经根型颈椎病38例疗效观察[J].云南中医中药杂志,2014,35(5):63-64.
[26]卢宇,秦续起,韩冬.无痛银质针治疗颈型颈椎病患者的临床观察[J].医疗装备,2016,29(9):12-13.
[27]Qaseem A,Wilt TJ,Mc Lean RM,et al.Noninvasive Treatments for Acute,Subacute,and Chronic Low Back Pain:A Clinical Practice Guideline From the American College of Physicians[J].Ann Intern Med,2017,166(7):514-530.
[28]李胜强,王素凌.银质针腰夹脊穴深刺治疗腰椎间盘突出症的临床研究[J].实用中西医结合临床,2015,15(6):24-25.
[29]范卫星.基于调筋治骨法探讨银质针疗法治疗腰椎间盘突出症的疗效研究[J].中华全科医学,2015,13(9):1520-1522.
[30]容小川,周文,尹杰.银质针治疗下腰痛的临床疗效观察[J].中西医结合研究,2015,7(5):256-257.
[31]王福生,肖莹,肖琳.银质针温针灸治疗腰肌筋膜炎63例疗效观察[J].湖南中医杂志,2014,30(12):72-73.
[32]闫洪涛,支世宝,冯建来,等.银质针艾条加热疗法对飞行人员腰肌劳损的疗效分析[J].解放军预防医学杂志,2013,31(5):446-447.
[33]Mc Alindon TE,Bannuru RR,Sullivan MC,et al.OARSI guidelines for the non-surgical management of knee osteoarthritis[J].Osteoarthr Cartilage,2014,22(3):363-388.
[34]曾庆洲,陈礼彬,伍秀丽.银质针导热疗法治疗膝关节骨性关节炎的临床研究[J].中国实用医药,2017,12(4):187-188.
[35]王军涛,张文骞,邹亮.银质针温针灸治疗中老年膝骨关节炎临床随机对照研究[J].上海中医药杂志,2014,48(7):65-67.
[36]李向军,王海东,田雪梅.细银质针导热疗法治疗膝骨关节炎的临床疗效观察[J].中国中医骨伤科杂志,2016,24(6):34-36.
[37]陈滢如,杨金生,王亮,等.《肩周炎循证针灸临床实践指南》解读[J].中国针灸,2017,37(9):991-994.
[38]彭星,段瑞,李辉喜,等.银质针行肩周炎(冻结期)治疗的应用[J].贵州医药,2016,40(3):288-289.
[39]王俊.银质针导热疗法对肩周炎软组织疼痛的效果分析[J].临床医学研究与实践,2016,21(1):126-127.
[40]田明.密集型银质针针刺治疗肩关节周围炎50例观察[J].实用中医药杂志,2016,32(3):258.
[41]庄志刚,李剑峰,张志俊,等.银质针治疗骨质疏松性椎体压缩骨折疼痛的疗效分析[J].中国疼痛医学杂志,2015,21(5):387-388.
[42]王刚,刘立会,王树东,等.银质针热灸法治疗梨状肌综合征疗效观察[J].辽宁中医药大学学报,2015,17(6):13-14.
[43]卢宇.无痛银质针治疗强直性脊柱炎疗效观察[J].人民军医,2015,58(4):419-420.
[44]陈伟,姜兴鹏,谢寒.改良银质针齐刺治疗早期股骨头缺血坏死疗效观察[J].实用中医药杂志2014,30(3):221-222.
[2]吴焱,杨东旭.体外冲击波治疗软组织慢性疼痛的临床观察[J].临床医药实践,2014,23(4):280-281.
[3]王国强.乌附汤联合基础疗法治疗慢性软组织损伤疼痛38例[J].中医研究,2014,27(4):47-49.
[4]王福根.银质针疗法在临床疼痛诊治中的应用[J].中国疼痛医学杂志,2003,9(3):173-181.
[5]宣蛰人.软组织外科学[J].颈腰痛杂志,1988,9(3):1-5.
[6]肖京,朱立国,金添,等.银质针和中药熏蒸治疗慢性腰痛前后椎旁软组织张力变化的对比分析[J].中国骨伤,2014(6):513-517.
[7]江亿平,侯京山,王福根.耻骨结节处银质针松解术治疗股内侧、膝关节内侧疼痛的疗效评估[J].中国临床康复,2005,9(18):1-3.
[8]王福根,江亿平.银质针治疗腰椎间盘突出症的临床肌电图观察[J].中国疼痛医学杂志,1999,5(4):194-197.
[9]施燕莉.两种银质针加热方法的疗效比较[J].中国康复医学杂志,2004,19(9):695-696.
[10]王一帆,木彬,李代斌,等.银质针疗法在慢性软组织损伤性疼痛中的应用研究[J].辽宁中医药大学学报,2016,18(1):126-129.
[11]侯京山,陈华,赵艳鸿,等.银质针温度自动控制系统的研究[J].中国临床康复,2004,8(20):4054-4055.
[12]王福根,富秋涛,侯京山,等.银质针治疗腰椎管外软组织损害后局部血流量变化观察[J].中国疼痛医学杂志,2001,7(2):80-82.
[13]王诚宏,慈鸿飞,王哲.银质针针刺疗法对腰椎间盘突出症患者下肢微循环的影响[J].中国康复医学杂志,2009,24(5):455-456.
[14]马玲,贾子善,肖红雨,等.银质针对大鼠运动性肌损伤疗效观察[J].实用医学杂志,2016,32(15):2448-2451.
[15]冯传有,陈华,王福根.热传导银质针治疗对股四头肌慢性损伤兔骨骼肌白细胞介素水平的影响[J].中国临床康复,2005,9(18):98-99.
[16]谢财忠,刘蓓蓓,丁勤能,等.银质针肌肉导热疗法对跟腱末端病大鼠白细胞介素-6表达的影响[J].中国康复医学杂志,2014,29(11):1079-1081.
[17]Gao P,Gao XI,Fu T,et al.Acupuncture:Emerging evidence for its use as an analgesic(Review)[J].Exp Ther Med,2015,9(5):1577-1581.
[18]端木程琳,乔丽娜,闫娅霞,等.针刺镇痛与脊髓胶质细胞参与慢性痛作用机制研究进展[J].中国中医基础医学杂志,2017,23(3):443-446.
[19]秦元,赵毅,沈雪勇,等.不同型号传统银质针温针灸在人体内的温度特性比较[J].上海针灸杂志,2014,33(3):189-191.
[20]张琴,郭成坤.银质针对腰椎间盘突出症镇痛作用及其对血浆β-内啡肽的影响[J].中国康复,2012,27(5):342-343.
[21]You HJ,Lei J,Ye G,et al.Influence of intramuscular heat stimulation modulation of nociception:complex role of central opioid receptors in descending facilitation and inhibition[J].J Physiol,2014,(Pt 19):4365-4380.
[22]邵蕊,王莹,晋志高.针刺夹脊穴治疗颈椎病的现状分析[J].基因组学与应用生物学,2017,36(2):531-535.
[23]陈伟,刘东灵,姜兴鹏,等.改良银质针疗法治疗椎动脉型颈椎病疗效观察[J].辽宁中医杂志,2014,41(12):2661-2664.
[24]李信明,刘春梅,任正强,等.肌肉缩短致病原理指导下无热银质针松解术治疗神经根型颈椎病的临床研究[J].华西医学,2015,30(10):1914-1918.
[25]陈礼彬,李世刚.银质针治疗颈肩上臂外侧疼痛为主的神经根型颈椎病38例疗效观察[J].云南中医中药杂志,2014,35(5):63-64.
[26]卢宇,秦续起,韩冬.无痛银质针治疗颈型颈椎病患者的临床观察[J].医疗装备,2016,29(9):12-13.
[27]Qaseem A,Wilt TJ,Mc Lean RM,et al.Noninvasive Treatments for Acute,Subacute,and Chronic Low Back Pain:A Clinical Practice Guideline From the American College of Physicians[J].Ann Intern Med,2017,166(7):514-530.
[28]李胜强,王素凌.银质针腰夹脊穴深刺治疗腰椎间盘突出症的临床研究[J].实用中西医结合临床,2015,15(6):24-25.
[29]范卫星.基于调筋治骨法探讨银质针疗法治疗腰椎间盘突出症的疗效研究[J].中华全科医学,2015,13(9):1520-1522.
[30]容小川,周文,尹杰.银质针治疗下腰痛的临床疗效观察[J].中西医结合研究,2015,7(5):256-257.
[31]王福生,肖莹,肖琳.银质针温针灸治疗腰肌筋膜炎63例疗效观察[J].湖南中医杂志,2014,30(12):72-73.
[32]闫洪涛,支世宝,冯建来,等.银质针艾条加热疗法对飞行人员腰肌劳损的疗效分析[J].解放军预防医学杂志,2013,31(5):446-447.
[33]Mc Alindon TE,Bannuru RR,Sullivan MC,et al.OARSI guidelines for the non-surgical management of knee osteoarthritis[J].Osteoarthr Cartilage,2014,22(3):363-388.
[34]曾庆洲,陈礼彬,伍秀丽.银质针导热疗法治疗膝关节骨性关节炎的临床研究[J].中国实用医药,2017,12(4):187-188.
[35]王军涛,张文骞,邹亮.银质针温针灸治疗中老年膝骨关节炎临床随机对照研究[J].上海中医药杂志,2014,48(7):65-67.
[36]李向军,王海东,田雪梅.细银质针导热疗法治疗膝骨关节炎的临床疗效观察[J].中国中医骨伤科杂志,2016,24(6):34-36.
[37]陈滢如,杨金生,王亮,等.《肩周炎循证针灸临床实践指南》解读[J].中国针灸,2017,37(9):991-994.
[38]彭星,段瑞,李辉喜,等.银质针行肩周炎(冻结期)治疗的应用[J].贵州医药,2016,40(3):288-289.
[39]王俊.银质针导热疗法对肩周炎软组织疼痛的效果分析[J].临床医学研究与实践,2016,21(1):126-127.
[40]田明.密集型银质针针刺治疗肩关节周围炎50例观察[J].实用中医药杂志,2016,32(3):258.
[41]庄志刚,李剑峰,张志俊,等.银质针治疗骨质疏松性椎体压缩骨折疼痛的疗效分析[J].中国疼痛医学杂志,2015,21(5):387-388.
[42]王刚,刘立会,王树东,等.银质针热灸法治疗梨状肌综合征疗效观察[J].辽宁中医药大学学报,2015,17(6):13-14.
[43]卢宇.无痛银质针治疗强直性脊柱炎疗效观察[J].人民军医,2015,58(4):419-420.
[44]陈伟,姜兴鹏,谢寒.改良银质针齐刺治疗早期股骨头缺血坏死疗效观察[J].实用中医药杂志2014,30(3):221-222.